Haase, Gretchen Elizabeth

Haase, Gretchen Elizabeth is an individual health care provider with primary practice located at 5380 Nesconset Hwy , Port Jefferson Station NY 11776-2056. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Haase, Gretchen Elizabeth can be contacted via phone (631) 474-4096.

Contact Information

Primary practice address
5380 Nesconset Hwy Port Jefferson Station NY 11776-2056
Phone: (631) 474-4096
Fax: (631) 474-5299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 024126-1 New York

Profile Details

NPI number 1134221799
LBN Legal business name Haase, Gretchen Elizabeth
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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